
Akynzeo CAPSULE 300-0.5 MG Oral
Netupitant-Palonosetron
Tier: 3
PA Type: No Prior Authorization
ST: Y

Akynzeo CAPSULE 300-0.5 MG Oral
Netupitant-Palonosetron
Tier: 3
PA Type: No Prior Authorization
ST: Y

Akynzeo Solution 235-0.25 MG/20ML Intravenous
Fosnetupitant-Palonosetron
Tier: 4
PA Type: No Prior Authorization
ST: N

Akynzeo Solution Reconstituted 235-0.25 MG Intravenous
Fosnetupitant-Palonosetron
Tier: 4
PA Type: No Prior Authorization
ST: N

Aloxi Solution 0.25 MG/5ML Intravenous
Palonosetron HCl
Tier: 4
PA Type: No Prior Authorization
ST: N
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